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Mrs. Carolyn Wanyama
Nursing Home Administrator in Maricopa, Arizona
NPI 1871029090

Carolyn Wanyama is a Nursing Home Administrator based in Maricopa, AZ. Carolyn Wanyama practices in Maricopa, AZ. The NPI Number for Carolyn Wanyama is 1871029090 and holds a License No. AL10166H (Arizona).

The current practice location address for Carolyn Wanyama is 44880 W Portabello Road, Maricopa, AZ and can be reached out via phone at 520-494-2626.

Location: 44880 W Portabello Road, Maricopa, AZ, 85139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871029090
Provider Name
Carolyn Wanyama
Credential
Provider Entity Type
Individual
Gender
Female
Address
44880 W Portabello Road, Maricopa, AZ, 85139
Phone Number
520-494-2626
Fax Number
Provider Enumeration Date
05/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44880 W Portabello Road
City
Maricopa
State
Arizona
Zip
85139
Phone Number
520-494-2626
Fax Number
person
Provider Business Mailing Address Details
Address
44880 W Portabello Road
City
Maricopa
State
Arizona
Zip
85139
Phone Number
520-494-2626
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
AL10166H (Arizona)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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